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ACaRa' STAGPLU-01 CERTIFICATE OF LIABILITY INSURANCE NAOMIPAVLIKOWSKI DATE (MMIDDIYYYY) $1212019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT Taml O'Neill NFP Property & Casualty Services, Inc. 1551 North Tustin Avenue Suite 500 PHONE F x Arc, Nn, Est). (858) 677-9409 (A�c,.l;(603) 875-1213 5_5_,_ i.oneill@nfp.com Santa Ana, CA 92705 INSURER(, AFFORDING COVERAGE NAIC t? INSURERA:OhIo SeCUri Insurance Com an 24082 INSURER B: INSURED A-2017-056 _ Stage Plus, Inc. A201705602 P.O. Box 11060 - - - Santa Ana, CA 92711 INSURER C INSURER D : INSURER E WSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE ADDINSDL SUS POLICY NUMBER POLICYEFF POMMQDMYYI LICY EXPLTR DOMMI LIMITS A X I COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 $_ 5001000 CLAIMS -MADE X I OCCUR X BKS58241997 7/29/2019 7/29/2020 DAMAGE TO RENTED _2REMI$.FS.(Faos4rrP,n.rA_ $ 15,000 MED EXP. (Any. one parson)__ ,fl $ 1,000,000 ADV INJURY_ Cde_N'LAGGREGAT ` LIMIT APPLIES PER: 1 POLICY J JPof El LOC _PERSONAL& _GENERALAGGREGATE �,. PRO12UCTS-COMPIOPAGG, 2,000,000 $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY �yOMBI ED SINGLE LIMIT .FEE! dgr1O- — — $ $ ANY AUTO BODILY INJURY JPerperson) BODILY INJURY Per acciden $ _ OWNED SCHEDULED AIURTEO�S ONLY AUTOS SSWNEp AUTOS ONLY LAUTOS ONLY i!9QN AGE $ UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE pp REVIEWED APPROVED CX $ $ —OCCUR ` DED RETENTION $ WORKERS COMPENSATION EMPLOYERS' LIABILITY ' ANY PROPRIETOR/PARTNER/EXECUTIVE f ' OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) N I A PER I E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOY $ S If yes, describe under QESCRIPTION OF OPERATIONS below ffl E.L. DISEASE - POLICY LIMIT FRAN61NE R. VILLAkEAL DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schaduler may be attached if more space Is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured in regards to General Liability per attached CG8810 0413 pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. 30 Days' notice of Cancellation applies. City of Santa Ana Risk Management 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD